LORRAINE R DAVIS (NPI# 1477737419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477737419 |
| Entity Type | Individual |
| Full Name | LORRAINE R DAVIS |
| Credential | APRN |
| Practice Address |
1750 N Wymount Terrace Dr Provo UT 84602-4800 |
| Practice Telephone | 8014222771 |
| Practice Fax Number | 8014220761 |
| Mailing Telephone | 8014222771 |
| Mailing Fax Number | 8014220761 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2008-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
217061-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034652 | Lorraine Davis | Community Health Worker | 7420 Crane Pl, Hyattsville, MD 20785-4606 | 2020-02-10 |
| 1952632556 | Lorraine K Davis | Counselor | 820 37th Pl, Vero Beach, FL 32960-6562 | 2010-01-21 |
| 1285961557 | Lorraine C Davis | Registered Nurse | 355 Spinnaker Ln, Webster, NY 14580-1770 | 2009-11-07 |
| 1457839078 | Lorraine Davis | Social Worker | 25 W Main St, Conway, NH 03818-6142 | 2018-08-06 |
| 1578649455 | Lorraine Elizabeth Davis | Family Medicine | 1044 State St, Schenectady, NY 12307-1508 | 2006-10-31 |
| Street Address |
1750 N WYMOUNT TERRACE DR |
| City | PROVO |
| State | UT |
| Zip Code | 84602-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787891 | Steven W Bloink | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2005-08-17 |
| 1730679085 | Oak Hills Pharmacy LLC | Pharmacy | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2018-05-12 |
| 1548627763 | Kelly Smith | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2016-01-19 |
| 1669814505 | Brandon Thatcher | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2013-07-19 |
| 1699024927 | Steven Morris Blanthorn | Physical Therapist | 1750 N Wymount Terrace Dr, Byu Student Health Center, Provo, UT 84604-8600 | 2012-08-31 |
| 1174707046 | William R Graden | General Practice | 1750 N Wymount Terrace Dr, Provo, UT 84602-4405 | 2007-12-27 |
| 1407030695 | David P Brown | General Practice | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| 1144404385 | Mary Ann Evans | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| 1598949786 | Elizabeth K Blackwell | Family Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| 1225212418 | Joseph Scott Bergeson | Internal Medicine | 1750 N Wymount Terrace Dr, Provo, UT 84602-4800 | 2007-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847161 | Tara Marquez | Specialist/Technologist | Brigham Young University Sports Medicine 123 Sab, Provo, UT 84602 | 2020-06-26 |
| 1265071575 | Scott Daly Hosford | Psychologist | 2500 Wsc, Provo, UT 84602 | 2020-01-03 |
| 1417591728 | Christine Padilla | Specialist/Technologist | 331 Student Athlete Building, Provo, UT 84602 | 2019-10-30 |
| 1255999637 | Thomas Golightly | Psychologist | 1500 Wsc Byu, Provo, UT 84602 | 2019-05-31 |
| 1881179323 | David Inouye Takasaki | Specialist/Technologist | 331 Sab, Provo, UT 84602 | 2018-10-01 |
| 1568949006 | Mckenna Taylor | Specialist/Technologist | 1120 Sfh Brigham Young University, Provo, UT 84602 | 2018-07-27 |
| 1821513755 | Sarah Huppi | Physical Medicine & Rehabilitation | 1130 Sfh, Provo, UT 84602 | 2017-08-11 |
| 1427572627 | Mackenzie Booth | Physical Medicine & Rehabilitation | 1120 Sfh, Brigham Young University, Provo, UT 84602 | 2017-07-29 |
| 1124542451 | Phillip James Adrian Hartog | Specialist/Technologist | 1143 Smith Fieldhouse, Provo, UT 84602 | 2017-07-28 |
| 1114479698 | Christopher Jay Hortin | Specialist/Technologist | 106 Sfh, Provo, UT 84602 | 2016-10-31 |
| Find all providers in zip 84602 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700963295 | Michelle Marie Mcnew | Nurse Practitioner | 750 N 200 W Ste 300, Provo, UT 84601-1690 | 2006-11-01 |
| 1588217723 | Erin Ellsworth Falor | Nurse Practitioner | 395 W Bulldog Blvd Ste 601, Provo, UT 84604-3331 | 2019-07-17 |
| 1124584867 | Lisa O'donnal | Nurse Practitioner | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2019-02-19 |
| 1588150304 | Christopher Bickmore Parson | Nurse Practitioner | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2018-07-04 |
| 1518484005 | Chaz Derrick Colton | Nurse Practitioner | 1034 N 500 W, Provo, UT 84604-3380 | 2017-08-24 |
| 1538698550 | Kelsie Balmforth | Nurse Practitioner | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2017-06-05 |
| 1609223726 | Younchan Lee | Nurse Practitioner | 750 N Freedom Blvd, Provo, UT 84601 | 2016-05-18 |
| 1972986057 | Steven Faux | Nurse Practitioner | 1157 N 300 W, Suite 303, Provo, UT 84604-6124 | 2015-07-07 |
| 1669814505 | Brandon Thatcher | Nurse Practitioner | 1750 N Wymount Terrace Dr, Provo, UT 84602-7600 | 2013-07-19 |
| 1598993040 | Erin Marie Haggerty | Nurse Practitioner | 619 N 500 W, Provo, UT 84601-1547 | 2009-06-23 |
| Find all providers in PROVO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.